Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJoseph Kavanagh
    Ask Trek AI about this page

    Joseph Kavanagh — Billing Profile & Reimbursement Data

    NPI 1992718373 · Seguin, TX · Ophthalmology Physician

    Customize your policy alerts

    Sign up for Joseph Kavanagh — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Joseph Kavanagh is a ophthalmology physician provider located in Seguin, Texas. This profile covers 34 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJoseph Kavanagh
    Address128 S Moss St
    CitySeguin
    StateTX
    ZIP78155
    TaxonomyOphthalmology Physician
    NPI EnumeratedAugust 15, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    65778The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.300$990$290.6K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…510$370$187.3K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…2,290$80$182.8K
    68761The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.410$160$64K
    92273The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess…670$90$61.8K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.210$250$52.6K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…490$100$49.1K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.1,850$30$48K
    68760The provider closes the lacrimal punctum with heat cauterization, ligation, or laser. The procedure shrinks the punctum and causes scarring, which results in closure. The procedure is performed to…140$240$34.2K
    65820The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.40$610$25.6K

    Showing 1–10 of 34

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    34 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984104990100$560$113.9K
    67028241290510$90$73K
    65778310030$1,040$63.3K
    669913810030$1,510$55.7K
    65820229030$1,000$37K
    66183233020$1,420$37K
    66174224030$690$26.3K
    6698214027020$650$23.4K
    920142,6722,700100$80$21K
    668215470050$230$20K

    Showing 1–10 of 34

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Joseph Kavanagh, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Samuel JurcaIDFamily Medicine Physician$24M$0
    Richard LaneTXRetina Specialist (Ophthalmology) Physician$4.8M$0
    Thomas OeiTXRetina Specialist (Ophthalmology) Physician$4.3M$0
    Ronald DrenglerTXMedical Oncology Physician$3.8M$0
    Jose MartinezTXOphthalmology Physician$3.8M$0
    Jeremiah BrownTXRetina Specialist (Ophthalmology) Physician$3.7M$0
    Sarah HolyTXRetina Specialist (Ophthalmology) Physician$3.5M$0
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    Robert ZajacTXInfectious Disease Physician$3.1M$0
    Howard MartinTXDermatopathology (Pathology) Physician$3M$0

    Nearby Providers

    Other providers in the same ZIP code as Joseph Kavanagh, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jason YohoTXInterventional Cardiology Physician$1.2M$0
    Antonio FloresTXFamily Medicine Physician$548.9K$0
    George WhiteTXOrthopaedic Surgery Physician$351.4K$0
    Praveen ThangadaTXSpecialist$314.9K$0
    Tony TsenTXGastroenterology Physician$176.1K$0
    Irvin SahniTXOrthopaedic Surgery of the Spine Physician$151.3K$0
    Juan Arenas-herreraTXInternal Medicine Physician$143.6K$0
    Nicole TalbotTXFamily Medicine Physician$121.3K$0
    Teresa Quebedeaux-farnhamTXPodiatrist$113.4K$5.8K
    Bhupinder SanghaTXCritical Care Medicine (Internal Medicine) Physician$113.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Joseph Kavanagh — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas